Evidence map›Paper›PMID 30400055›Full record

GuidelineEndocrine-related cancer2019

French Endocrine Society Guidance on endocrine side effects of immunotherapy.

F Castinetti, F Albarel, F Archambeaud, J Bertherat, B Bouillet, P Buffier, C Briet, B Cariou, Ph Caron, O Chabre and 14 more

Abstract readGuideline
In one paragraph

Guideline in Endocrine-related cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Observational
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

F CastinettiAix-Marseille Université, Institut National de la Santé et de la Recherche Médicale (INSERM), U1251, Marseille Medical Genetics (MMG), and Department of Endocrinology, Assistance Publique-Hôpitaux de Marseille (AP-HM), Hôpital de la Conception, Centre de Référence des Maladies Rares de l'Hypophyse HYPO, Marseille, France.
F AlbarelAix-Marseille Université, Institut National de la Santé et de la Recherche Médicale (INSERM), U1251, Marseille Medical Genetics (MMG), and Department of Endocrinology, Assistance Publique-Hôpitaux de Marseille (AP-HM), Hôpital de la Conception, Centre de Référence des Maladies Rares de l'Hypophyse HYPO, Marseille, France.
F ArchambeaudService de Médecine Interne B - Endocrinologie, Limoges Cedex, France.
J BertheratHôpital Cochin, Service d'Endocrinologie et Maladies Métaboliques, Paris Cedex 14, France.
B BouilletCHU Dijon, Hôpital François Mitterrand, Service d'Endocrinologie, Diabétologie, Maladies Métaboliques, Dijon Cedex, France.
P BuffierCHU Dijon, Hôpital François Mitterrand, Service d'Endocrinologie, Diabétologie, Maladies Métaboliques, Dijon Cedex, France.
C BrietInstitut MITOVASC, INSERM U1083, Angers University, Department of Endocrinology, Diabetology and Nutrition, University Medical Center, Angers, France.
B CariouDepartment of Endocrinology, L'Institut du Thorax, CHU Nantes, Nantes, France.
Ph CaronCHU de Toulouse - Hôpital Larrey - Service d'Endocrinologie - Maladies métaboliques - Nutrition, TSA 30030, Toulouse Cedex 9, France.
O ChabreCHU de Grenoble - Hôpital Albert Michallon, Service d'Endocrinologie-Diabétologie-Nutrition, Grenoble Cedex 9, France.
Ph ChansonAssistance Publique-Hôpitaux de Paris (AP-HP), Hôpital de Bicêtre, Service d'Endocrinologie et des Maladies de la Reproduction, et UMR S-1185 Faculté de Médecine Paris-Sud, University of Paris-Saclay, Le Kremlin-Bicêtre, France.
C CortetCHRU de Lille - Hopital Huriez, Service d'Endocrinologie, Lille Cedex, France.
C Do CaoCHRU de Lille - Hopital Huriez, Service d'Endocrinologie, Lille Cedex, France.
D DruiDepartment of Endocrinology, L'Institut du Thorax, CHU Nantes, Nantes, France.
M HaissaguerreCHU de Bordeaux - Hôpital du Haut Lévêque, Service d'Endocrinologie-Diabétologie et Maladies Métaboliques, Pessac Cedex, France.
S HescotInstitut Curie, Oncologie Endocrinienne, Saint Cloud, France.
F IllouzDepartment of Endocrinology, Diabetes and Nutrition, Reference Centre of Rare Thyroid Disease, Hospital of Angers, Angers Cedex 09, France.
E KuhnAssistance Publique-Hôpitaux de Paris (AP-HP), Hôpital de Bicêtre, Service d'Endocrinologie et des Maladies de la Reproduction, et UMR S-1185 Faculté de Médecine Paris-Sud, University of Paris-Saclay, Le Kremlin-Bicêtre, France.
N LahlouDépartement d'Hormonologie Spécialisée, BPR-AS, Pannes, France.
E MerlenCHRU de Lille - Hopital Huriez, Service d'Endocrinologie, Lille Cedex, France.
V RaverotHospices Civils de Lyon, Laboratoire d'Hormonologie, Service de Biochimie et Biologie Moléculaire, Groupement Hospitalier Est, Lyon, France.
S SmatiDepartment of Endocrinology, L'Institut du Thorax, CHU Nantes, Nantes, France.
B VergesCHU Dijon, Hôpital François Mitterrand, Service d'Endocrinologie, Diabétologie, Maladies Métaboliques, Dijon Cedex, France.
F Borson-ChazotHospices Civils de Lyon, Fédération d'Endocrinologie, Université Claude Bernard Lyon 1, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of cancer patients has changed due to the considerably more frequent use of immune checkpoint inhibitors (ICPIs). However, the use of ICPI has a risk of side effects, particularly endocrine toxicity. Since the indications for ICPI are constantly expanding due to their efficacy, it is important that endocrinologists and oncologists know how to look for this type of toxicity and how to treat it when it arises. In view of this, the French Endocrine Society initiated the formulation of a consensus document on ICPI-related endocrine toxicity. In this paper, we will introduce data on the general pathophysiology of endocrine toxicity, and we will then outline expert opinion focusing primarily on methods for screening, management and monitoring for endocrine side effects in patients treated by ICPI. We will then look in turn at endocrinopathies that are induced by ICPI including dysthyroidism, hypophysitis, primary adrenal insufficiency and fulminant diabetes. In each chapter, expert opinion will be given on the diagnosis, management and monitoring for each complication. These expert opinions will also discuss the methodology for categorizing these side effects in oncology using 'common terminology criteria for adverse events' (CTCAE) and the difficulties in applying this to endocrine side effects in the case of these anti-cancer therapies. This is shown in particular by certain recommendations that are used for other side effects (high-dose corticosteroids, contraindicated in ICPI for example) and that cannot be considered as appropriate in the management of endocrine toxicity, as it usually does not require ICPI withdrawal or high-dose glucocorticoid intake.

Indexed as

Antineoplastic Agents, ImmunologicalEndocrine System DiseasesFranceHumansImmunotherapyAntineoplastic Agents, Immunologicaladrenal insufficiencyCTLA-4diabeteshypophysitishypothyroidismimmune checkpoint inhibitorPD-1PD-L1thyrotoxicosis

Identifiers

PMID30400055
PMCPMC6347286

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.